Child Abuse, Parenting, Violence
Conditions
Brief summary
The aim is to determine if a brief intervention can affect parents' attitudes about physical punishment and other parenting behaviors.
Detailed description
A public health problem that needs to be solved is how to educate more parents about healthy discipline options. The investigators aim to mitigate adverse childhood experiences (ACEs) by integrating evidence-based parent training into pediatric primary care. Some of the most modifiable ACEs are associated with parenting behaviors that can lead to child abuse. The investigators define unhealthy parenting behaviors such as spanking, threatening, yelling, and humiliation. For adults in the original ACEs study, it was exposure to these behaviors that led to the categorization of child abuse/neglect and that were associated with heart disease, obesity, depression, smoking, drug use, violence, and many other problems. This study may help change policy and practice related to mitigating ACEs in primary care. To accomplish this goal, randomized controlled trials are needed to test brief screening tools and evidence-based resources. A population-based approach is needed to reach all parents (i.e. primary prevention). In the study, parents in the intervention group will receive 3 minutes of education about healthy discipline strategies.
Interventions
BEHAVIORALDiscipline education
Discipline education using the Play Nicely program.
BEHAVIORALCavity Prevention
Cavity prevention using a 2 page handout.
Sponsors
Vanderbilt University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
No masking.
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
6 Months to 2 Years
Healthy volunteers
Yes
Inclusion criteria
* Parents of 6 month to 2 year old children presenting to the Vanderbilt Pediatric Primary Care Clinic for a well visit or an acute care visit.
Exclusion criteria
* Parents who do not speak and read English, Spanish, or Arabic. The interventions are only available in English, Spanish, and Arabic.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attitudes toward spanking | 3-6 months post-enrollment. | A 10 item scale that assesses parents' attitudes about corporal punishment. The minimum value is 10 and the maximum value is 70. Higher scores indicate a higher likelihood of using spanking. |
Countries
United States
Outcome results
None listed